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TRACY RUSSELL MSW, LCSW-A
NPI 1609326826
Social Worker - Clinical in Raleigh, NC

Active since October 12, 2016Opted out of Medicare · through Apr 1, 2028
9205 BAILEYWICK RD, RALEIGH, NC 27615(919) 845-5400 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2019, Oct 12, 2016 (2 updates tracked since 2016).

About Tracy Russell Msw, Lcsw-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY RUSSELL MSW, LCSW-A (NPI 1609326826) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P010744) and active in the NPI registry since October 2016. She has opted out of Medicare through April 1, 2028 and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1609326826
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY RUSSELLCredential: MSW, LCSW-A
Location Address9205 BAILEYWICK RDRaleigh, NC 27615-1977
Mailing Address5411 Newhall RdDurham, NC 27713-2523 · (336) 392-2639
Phone(919) 845-5400
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateJanuary 25, 20192 updates tracked since enumeration
✔ NPI 1609326826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · P010744✔ Licensed · P010744
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9205 BAILEYWICK RD, Raleigh, NC 27615
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Secondary Practice Location 1

Location 15411 Newhall RdDurham, NC 27713-2523 · Phone (336) 392-2639

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tracy Russell Msw, Lcsw-a has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE HANSEN M.ED
Marriage & Family Therapist
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
KENNEDY M GUIDRY
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
SAMANTHA ZENGBEAN
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
MARY DODGE MS, LMFTA
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
KRISTINA MCGEE LCMHCA
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
JAZLYNE PRATT LMFTA
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
BRIDGET CYBULSKI MA, LCMHCA
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400
NEELY PARKER CRENSHAW LCMHCA, NCC
Counselor (Mental Health)
9205 BAILEYWICK RD
RALEIGH, NC 27615
Wake County (919) 845-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Russell's NPI number?

The NPI number for Tracy Russell is 1609326826. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Tracy Russell located?

Tracy Russell practices at 9205 Baileywick Rd, Raleigh, NC 27615. The listed phone number is (919) 845-5400.

What is Tracy Russell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tracy Russell enrolled in Medicare?

No. Tracy Russell has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tracy Russell was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.